Cardiology Board Exam Started: Jul 12, 2026 21:04 Page 62 of 62 Attempt #969 Overall: 0 / 306 questions answered Question 306 / 306 Not answered At a multidisciplinary case conference: a 60-year-old man is evaluated for exertional syncope with systolic murmur in the context of chronic hypertension. Which is the most appropriate next investigation? A. Urgent transthoracic echocardiography B. Coronary angiography when indicated C. Ambulatory rhythm monitoring D. BNP or NT-proBNP measurement E. 12-lead ECG with serial troponins Show Answer & Explanation Correct Answer: A Explanation: Urgent transthoracic echocardiography is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Cardiology. Reference: AHA/ACC Heart Failure Guideline (2022 update) Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 62 of 62 Submit Exam